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Roberts SL, Kendall GS, Edwards S, Pandya P, Peebles D, Nastouli E. Screening policies for cytomegalovirus in pregnancy in the era of antivirals. Lancet 2022; 400:489-490. [PMID: 35964603 DOI: 10.1016/s0140-6736(22)01299-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Accepted: 07/05/2022] [Indexed: 11/20/2022]
Affiliation(s)
- Sophie Louise Roberts
- Department of Clinical Virology, University College London Hospitals NHS Trust, London, UK
| | - Giles S Kendall
- Centre for Perinatal Brain Protection and Repair, Department of Obstetrics and Gynaecology, University College London, London, UK
| | - Sarah Edwards
- Department of Science, Technology, Engineering and Public Policy, University College London, London, UK
| | - Pranav Pandya
- Fetal Medicine Unit, University College London Hospitals NHS Trust, London, UK; EGA Institute of Women's Health, University College London, London, UK
| | - Donald Peebles
- Fetal Medicine Unit, University College London Hospitals NHS Trust, London, UK; EGA Institute of Women's Health, University College London, London, UK
| | - Eleni Nastouli
- Department of Clinical Virology, University College London Hospitals NHS Trust, London, UK; Department of Infection, Immunity and Inflammation, UCL Great Ormond Street Institute of Child Health, London WC1N 1EH, UK.
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Kapumba BM, Desmond N, Seeley J. What do we know about ancillary care practices in East and Southern Africa? A systematic review and meta-synthesis. Wellcome Open Res 2021. [DOI: 10.12688/wellcomeopenres.16858.1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Abstract
Background: Despite growing calls for the provision of ancillary care to study participants during medical research, there remains a noticeable gap in ethical guidelines for medical researchers in resource-constrained settings (RCS). We reviewed recent studies to determine the extent to which ancillary care is provided in East and Southern Africa and to examine the ethical justifications researchers provide to support their views on ancillary care obligations. Methods: A systematic search for qualitative and mixed methods studies on ancillary care was conducted across MEDLINE, Embase, African Wide Information, PubMed, CINAHL Plus, and Scopus. The National Institutes of Health (NIH) Department of Bioethics and H3 Africa websites and Google Scholar were further searched. Studies conducted in East and Southern Africa between 2004 and 2020, as well as those that reported on ancillary care provided to study participants were included. All studies included in this review were evaluated for methodological quality as well as bias risk. NVivo version 12 was used for thematic analysis. Results: Overall, 4,710 articles were identified by the initial search. After the data extraction and quality assessment, 24 articles were included. Key areas presented include ancillary care approaches and the themes of researcher motivation for providing ancillary care and expectations of participants in medical research. The review shows that while some international researchers do provide ancillary care to their study participants, approaches are not standardised without consistent guidelines for ethical practice for ancillary care. We found limited empirical studies in RCS that report on ancillary care, hence findings in this review are based on single studies rather than a collection of multiple studies. Conclusions: This paper emphasizes the value of establishing ethics guidelines for medical researchers in RCS who consider provision of ancillary care to their participants, and the need to account for these ethical guidelines in medical research.
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